Author Archives: Lisa

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About Lisa

I have been a Clinical Informationist (aka Medical Librarian) for Emory University since September 2013. Prior to that, I was a Medical Librarian for Lincoln Memorial University (LMU) from March 2007 to August 2013 and served its DeBusk College of Osteopathic Medicine (LMU-DCOM), Caylor School of Nursing, and allied health programs. From January 2002 - March 2007, I served the Medical Assisting (MA), Occupational Therapy Assistant, Physical Therapy Assistant, Radiologic Technologist, and Nursing programs at South College in Knoxville, Tennessee. I graduated from The University of Tennessee School of Information Sciences with a Master of Science degree in December 2000. Received a Educational Specialist (EdS) degree in Educational Administration and Supervision with a higher education focus in August 2010 from LMU.

Reducing nursing turnover – systematic reviews & meta-analyses

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Here’s how to access a collection of 15 systematic reviews and meta-analyses on reducing nursing turnover and one systematic review on the anticipated turnover scale that can be used for planning purposes.

a. Go to the Woodruff Health Sciences Center Library homepage (http://health.library.emory.edu)
b. Click on PubMed.
c. Then paste the following links into your browser: https://tinyurl.com/y38jyuza
d. The references will appear in PubMed. Click on a reference and you will see a Find it at Emory on the right side of the page which will provide links to full text within Emory University’s licensed resources. Emory Healthcare staff may send citations of needed articles they are unable to access to Ask a Librarian; a library staff person will request the article(s) from an outside library and email them to the EHC staff person upon arrival.

Important message for Emory Decatur Nurses. The links will not work for you. To access these articles contact the Emory Decatur Library:

Emory Decatur Hospital
Jessica Callaway (Jessica.callaway@emoryhealthcare.org
404.501.1628

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Bedside shift report and patient satisfaction

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Noteworthy articles:

Scheidenhelm S, Reitz OE. Hardwiring Bedside Shift Report. J Nurs Adm. 2017 Mar;47(3):147-153. doi: 10.1097/NNA.0000000000000457. PMID: 28157819

Ford Y, Heyman A. Patients’ Perceptions of Bedside Handoff: Further Evidence to Support a Culture of Always. J Nurs Care Qual. 2017 Jan/Mar;32(1):15-24. PMID: 27270846

Here’s how to view a collection of 23 articles that includes the aforementioned articles.
a. Go to the Woodruff Health Sciences Center Library homepage (http://health.library.emory.edu)
b. Click on PubMed.
c. Then paste the following links into your browser:
https://www.ncbi.nlm.nih.gov/sites/myncbi/1HMKnKhQm_d5i/collections/58614678/public/
d. The references will appear in Pubmed. Click on a reference and you will see a Find it at Emory on the right side of the page which will tellavailability of full text within Emory University’s licensed resources. Emory Healthcare staff may send citations of needed articles they are unable to access to Ask a Librarian; a library staff person will request the article(s) from an outside library and email them to the EHC staff person upon arrival. 

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Prevention of surgical site infections (SSIs)

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A collection of 71 articles in PubMed has been compiled on prevention of surgical site infections (SSIs). It consists of systematic reviews, meta-analyses, and guidelines from various sources, including Cochrane, WHO and CDC. There is a wide variety of topics: sterile technique, patient engagement, coated sutures, operating room traffic, preoperative bathing, physician 360-degree reporting, forced-air warming, dressings, teamwork and collaboration, and much more. Articles on usage of antibiotics are not included.

To read abstracts and access full text (where available), first go to Emory’s instance of PubMed and copy/paste this URL into the same browser window. Use the “Find It @ Emory” button to access an article’s full text.

The Agency for Healthcare Research and Quality (AHRQ) has several reports and information on prevention of SSIs. Here are some items from their website:

Toolkit to Promote Safe Surgery helps identify opportunities to improve care and safety practices and implement evidence-based interventions to prevent SSIs. The toolkit includes two guides, supplemental tools for each guide, and 15 instructional modules within three phases (on-boarding, implementation, sustainability) to support change at the unit level.

Toolkit to Improve Safety in Ambulatory Surgery Centers addresses what can be done to prevent SSIs and other complications.

Proactive Risk Assessment of Surgical Site Infections in Ambulatory Surgery Centers includes a list of patient factors that make them high-risk, such as obesity, but also includes things that staff do that lead to increasing rates of infection, such as “fail to remove watch/jewelry/fake nails.”

Creating a Culture of Safety in the Ambulatory Surgery Environment Implementation Guide states that an anticipated benefit for ASCs participating in the program includes a reduction in SSIs and other surgical complications.

Advances in the Prevention and Control of HAIs includes a chapter entitled “Development and Implementation of a Consensus Algorithm to Optimize Preoperative Antimicrobial Prophylaxis and Decrease Gram-Positive Surgical Site Infections for Cardiac and Orthopedic Procedures.”

AHRQ has an ongoing safety program for improving surgical care and recovery. One outcome of the 5-year project will be creation of a toolkit. Visit their website for information on the project and how to enroll a hospital in the program.

Risk factors for developing clostridium difficile (aka c. diff) and/or risk stratification for development and reoccurrence of C. Diff

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This collection contains 36 articles on risk factors for developing clostridium difficile (aka cdiff) and/or risk stratification for development and reoccurence of cdiff.

Here is one search technique that was used to find articles in PubMed: ((“Clostridium Difficile”[Mesh] OR “clostridium difficile”[ti] OR “c diff”[ti] OR cdiff[ti]) AND (“Risk Factors”[Mesh] OR “risk factors”[ti]) AND (systematic[sb] OR Meta-Analysis[ptyp])) OR ((“Clostridium Difficile”[Mesh] OR “clostridium difficile”[ti] OR “c diff”[ti] OR cdiff[ti]) AND ((risk OR risks) AND (stratify OR stratifies OR stratified OR stratifying OR stratification)))

To access the collection and to read abstracts and access full text (where available) using the Find it @ Emory button, please first open Emory’s instance of PubMed. Once you have accessed PubMed, copy/paste the following url into the same browser window: https://www.ncbi.nlm.nih.gov/myncbi/collections/56047643/
If are an Emory Healthcare employee and do not have access to an article you need, send the citation(s) to Ask a Librarian.

Hourly rounding/hourly physiologic monitoring by nurses

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This collection contains 51 articles on hourly rounding/hourly physiologic monitoring of acute care patients by nurses. It does not include articles that were specific to inpatient rehab, inpatient psychiatric patients, and epilepsy monitoring units. Many of the articles are meta-analyses or systematic reviews.

Here is one search technique that was used to find articles in PubMed: (“rounds hourly” OR “round hourly” OR “rounded hourly” OR “rounding hourly” OR “hourly rounding” OR “hourly rounds” OR “hourly physiologic” OR “physiologic monitoring hourly” OR ((“monitor hourly” OR “monitors hourly”) AND (“vital signs” OR physiologic))) AND (nurse OR nurses OR nursing)

To access the collection and to read abstracts and access full text (where available) using the Find it @ Emory button, please first open Emory’s instance of PubMed. Once you have accessed PubMed, copy/paste the following url into the same browser window: https://www.ncbi.nlm.nih.gov/sites/myncbi/1HMKnKhQm_d5i/collections/55355546/public/
If are an Emory Healthcare employee and do not have access to an article you need, send the citation(s) to Ask a Librarian.

Use of whiteboards (aka dry-erase boards) at the patients’ bedside

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This collection contains 22 articles primarily about the use of whiteboards (aka dry-erase boards) in patients’ rooms. It includes articles even when the use of a board was briefly mentioned because it may include an idea for something to add to an existing board or provide ideas on how whiteboards have been used in bundles. An article on use of a goals’ worksheet posted near patients’ beds is included since it may be useful for coming up with ideas for what to add to the whiteboard since goals are usually on the board.

Here is one search technique that was used to find articles in PubMed: “white board” OR “white boards” OR “whiteboard” OR “whiteboards” OR dry-erase OR “dry erase” OR “goals worksheet” OR “goals worksheets”) AND (room OR rooms OR bedside) AND (patient OR patients) AND (nurse OR nurses OR nursing)

To access the collection and to read abstracts and access full text (where available) using the Find it @ Emory button, please first open Emory’s instance of PubMed. Once you have accessed PubMed, copy/paste the following url into the same browser window: https://www.ncbi.nlm.nih.gov/sites/myncbi/1HMKnKhQm_d5i/collections/56051967/public/
If are an Emory Healthcare employee and do not have access to an article you need send the citation(s) to Ask a Librarian.

Criteria for unavoidable pressure ulcers

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Seven articles were found that provide information on criteria for unavoidable pressure ulcers.

In order to be able to use the Find it @ Emory button within article entries to look at the full text, please use these instructions to access the collection.
1. Go to the Woodruff Health Sciences Center Library’s homepage at http://health.library.emory.edu/
2. Click on “PubMed.”
3. Copy and paste the url into the address bar of your browser: https://www.ncbi.nlm.nih.gov/myncbi/collections/54337732/?reload=updatePermissionSuccess